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MEDICO-CHIRITRGICAL TRANSACTIONS. 1'VBLISHED BY THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. VOLUME THE FORTIETH. LONDON: LONGMAN, BROWN, GREEN, LONGMANS, AND ROBERTS, PATERNOSTER-ROW. 1857. MEDIC 0-CHIRURGICAL T1aRANSACTIONS. PUBLISHED BY THE ROYAL MEDICAL AND CHIRU1IGICAL SOCIETY C LONDON. SECOND SERIES. VOLUME THE TWENTY-SECOND. LONDON: LONGMAN, BROWN, GREEN, LONGMANS, AND ROBERT'S, PATERNOSTER-ROW. 1857. ADVERTISEMENT. THE Council of the Royal Medical and Chirurgical Society deems it proper to state, that the Society does not hold itself in any way responsible for the statements, reasonings, or opinions set forth in the various papers, which, on grounds of general merit, are thought worthy of being published itl its Transactions. THE Council having decided upon publishing " Proceedings of the Society," are anxious to lay the following Regulations before the Fellows: - That as a general rule, the Proceedings will be issued every two mionths, subject to variations dependent on the extent of matter to be printed. That Copies of the Proceedings will be sent, postage free, to every Fellow of the Society entitled to receive the Transactions. "The Proceedings of the Society" may 'be obtained of Mr. Adlard, Bartholomew Close, on prepayment of an annual subscription of five shillings, which may be transmitted either by post-office order, or in postage stamps ;-this will include the expense of conveyance by post to any part of the United Kingdom; to other places they will be sent, carriage free, through a bookseller, or by post, the receiver paying the foreign charges. That a notice of every paper will appear in the Proceedings. Authors will be at liberty, on sending their communications, to intimate to the Secretary whether they wish them to appear in the Proceedings only, or, in the Proceedings and Transactions; and in all cases they will be expected to furnish an Abstract of the commu- nication. That abstracts of the papers read, will be furnished to the Journals as heretofore. ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. PATRON. THE QUEEN. OFFICERS AND COUNCIL, ELECTED MARCH 1, 1857. xte sxibt. SIR CHARLES LOCOCK, BART., M.D. r GEORGE BUDD, M.D. F.R.S. SETH THOMPSON, M.D. VICE-PRESIDENTS. 1 RICHARD QUAIN, F.R.S. LJAMES DIXON. { TR-UES GEORGE CURSHAM, M.D. TTHOMAS BLIZARD CURLING, F.R.S. , ANDREW WHYTE BARCLAY, M.D. I SPENCER SMITH. { WILLIAM WEGG, M.D. LIBRAIRIANS. JOHN BIRKETT. r ARTHUR FARRE, M.D. F.R.S. HENRY HUNT, M.D. JOHN SNOW, M.D. ALEXANDER PATRICK STEWART, M.D. OTHER MEMBERS FREDERICK WEBER, M.D. OF COUNCIL. EDWARD COCK. HENRY LEE. GEORGE DAVID POLLOCK. GEORGE JAMES SQUIBB. NATHANIEL WARD. THE ABOVE FORM THE COUNCIL. F JAMES MONCRIEFF ARNOTT, F.R.S. TRUSTEES OF THE JAMES COPLAND, M.D. F.R.S. S EDWARD STANLEY, F.R.S. RESIDENT ASSISTANT-LIBRARIAN. BENJAMIN ROBERT WHEATLEY. FELLOWS OF THE SOCIETY APPOINTED BY THE COUNCIL AS REFEREES OF PAPERS, FOR THE SESSION OF 1857-58. ARNOTT, JAMES MONCRIEFF, F.R.S. BALLARD, EDWARD, M.D. BARLOW, GEORGE HILARO, M.D. BASHAM, WILLIAM RICHARD, M.D. BIRKETT, EDMUND LLOYD, M.D. BLACK, PATRICK, M.D. BRODIE, SIR BENJAMIN COLLINS, BART., F.R.S. BURROWS, GEORGE, M.D. F.R.S. BUSK, GEORGE, F.R.S. CHAMBERS, THOMAS KING, M.D. DICKSON, ROBERT, M.D. FERGUSON, ROBERT, M.D. FERGUSSON, WILLIAM, F.R.S. GARROD, ALFRED BARING, M.D. GULL, WILLIAM WITHEY, M.D. HAWKINS, C2ESAR HENRY, F.R.S. HEWETT, PRESCOTT GARDNER. HILTON, JOHN, F.R.S. JOHNSON, GEORGE, M.D. LAWRENCE, WILLIAM, F.R.S. LEE, ROBERT, M.D. F.R.S. LUKE, JAMES, F.R.S. MAYO, THOMAS, M.D. F.R.S. MOORE, CHARLES HEWITT. OLDHAM, HENRY, M.D. PAGET, JAMES, F.R.S. PEACOCK, THOMAS BEVILL, M.D. SHARPEY, WILLIAM, M.D. F.R.S. SHAW, ALEXANDER. SIEVEKING, EDWARD HENRY, M.D. SMITH, WILLIAM TYLER, M.D. SOLLY, SAMUEL, F.R.S. STANLEY, EDWARD, F.R.S. THOMSON, ROBERT DUNDAS, M.D. F.R.S. TRAVERS, BENJAMIN, F.R.S. WEST, CHARLES, M.D. A LIST OF THE PRESIDENTS OF THE SOCIETY, FROM ITS FORMATION. ELECTED 1805. WILLIAM SAUNDERS, M.D. 1808. MATTHEW B3AILLIE, M.D). 1810. SIR HENRY HALFORD, BART., M.D. G.C.H. 1813. SIR GILBERT BLANE, BART., M.D. 1815. HENRY CLINE. 1817. WILLIAM BABINGTON, M.D. 1819. SIR ASTLEY PASTON COOPER, BART., K.C.H. D.C.L 1821. JOHN COOKE, M.D. 1823. JOHN ABERNETHY. 1825. GEORGE BIRKBECK, M.D. 1827. BENJAMIN TRAVERS. 1829. PETER MARK ROGET, M.D. 1831. WILLIAM LAWRENCE. 1833. JOHN ELLIOTSON, M.t). 1835. HENRY EARLE. 1837. RICHARD BRIGHT, M.D. D.C.L. 1839. SIR BENJAMIN COLLINS BRODIE, BABT., D.C.L. 1841. ROBERT WILLIAMS, M.D. 1843. EDWARD STANLEY. 1845. WILLIAM FREDERICK CHAMBERS, M.D. K.C.H. 1847. JAMES MONCRIEFF ARNOTT. 1849. THOMAS ADDISON, M.D. 1851. JOSEPH HODGSON. 1853. JAMES COPLAND, M.D. 1855. CAESAR HENRY HAWKINS. 1857. SIR CHARLES LOCOCK, BART., M.D. FELLOWS OF THE ROYAL MEDICAL AND CHIRURGICAL SOCIETY OF LONDON. EXPLANATION OF THE ABBREVIATIONS. P.-President. V.P.-Vice-President. T.-Treasurer. S.-Secretary. L.-Librarian. C.-Member of Council. The figures succeeding the words Trans. and Pro. show the number of Papers which have been contributed to the Transactions or Proceedings by the Fellow to whose name they are annexed. OCTOBER 1857. Amongst the non-residents, those marked thus (*) are entitled by composition to receive the Transactions. Elected 1841 *JAMES ABERCROMBIE, M.D., Cape of Good Hope. 1846 *JOHN ABERCROMBIE, M.D., Physician to the Cheltenham Hospital and Dispensary, Cheltenham. 1851 *HENRY WENTWORTH ACLAND, M.D. F.R.S., Physician to the Radcliffe Infirmary; Regius Professor of Medicine, and Clinical Professor in the University of Oxford. 1842 WILLIAM ACTON, 46, Queen Anne-street, Cavendish-square. Trans. 1. 1818 WALTER ADAM, M.D., Edinburgh. 1851 JOHN ADAMS, Surgeon to, and Lecturer on Descriptive and Surgical Anatomy at, the London Hospital; 4, St. Helen's-place, Bishopsgate-street. Trans. 1. 1852 WILLIAM ADAMS, Suirgeon to the Royal Orthopsedic Hospital; Lecturer on Anatomy and Surgery at the Grosvenor-Place School of Anatomy and Medicine; 5, Henrietta-street, Cavendish-square. Trans. 1. xii FELLOW$ OF THE SOCIETY. Elected 1818 THOMAS ADDISON, M.D., Senior Physician to, and Lecturer on Clinical Medicine at, Guy's Hospital, and Consulting Physician to the Royal South London Dispensary; 24, New-street, Spring-gardens. C. 1826, 1853. V.P. 1837. P. 1849-50. Tran8. 2. 1837 *RALPu FAWsIMTT ATNSWORTH, M.D., Physician to the Man- chester Royal Infirmary; 6, Piccadilly, Manchester. 1819 GEORGE FREDERICK ALBERT. 1839 RUTHERFORD ALCOCK, K.C.T. K.T.S., China. Trans. 1. 1826 JAMES ALDERSON, M.D. F.R.S., Senior Physician to, and Lecturer on Clinical Medicine at, St. Mary's Hospital; 17, Berkeley-square. S. 1829. C. 1848. T. 1849. V.P. 1852-3. Tran. 3. 1843 CHARLES JAMES BERRIDGE ALDIS, M.D., Medical Officer of Health for St. George's Hanover-square; Senior Phy- sician to the Surrey Dispensary; and Physician to the St. Paul and St. Barnabas Dispensary; 1, Chester- terrace, Chester-square. 1850 CHARLES REVANS ALEXANDER, Assistant-Surgeon to the Royal Infirmary for Diseases of the Eye; 6, Cork- street, Bond-street. 1813 HENRY ALEXANDER, F.R.S., Surgeon-Oculist in Ordinary to H.M; the Queen, and Surgeon to the Royal Infirmary for Diseases of the Eye; 6, Cork-street, Bond-street. C. 1822, 1840. V.P. 1850. 1836 HENRY ANCELL, 3, Norfolk-crescent, Oxford-square. C. 1847-8. Tran8. 2. * 1817 ALEXANDER ANDEISON. 1820 THOMAS ANDREW8, M.D., Norfolk, Virginia. 1813 WILLIAM ANKERS, Knutsford. 1819 PRoFESSoRt ANTOMMARCHI, Florence. 1819 JAMES MONCRIEFF ARNOTT, F.R.S., Vice-President of the Royal College of Surgeons; 2, New Burlington-street. L. 1826-8. V.P. 1832-3. T. 1835-40. C. 1846, 1855-6. P. 1847-8. Tran8. 8. 1817 JOHN ASHBURNER, M.D. F.L.S., 7, Hyde Park-place, Cumberland-gate. C. 1821, 1830-1. 1851 THOM.S JOHN ASHTON, Surgeon to the Blenheim-Street Dispensary; 31, Cavendish-square. FELLOWS OF THE SOCIETY. X1ii Elected 1825 BENJAMIN Guy BABINGTON, M.D. F.R.S., Physician to the Asylum for Deaf and Dumb, and Consulting Physician to the German Hospital, and to the City of London Hospital for Diseases of the Chest; 31, George-street, Hanover-square. C. 1829. V.P. 1845-6. T. 1848. Tran8. 2. 1846 CORNELIUS METCALFE STUART BABINGTON, L.R.C.P., Phy- sician to Queen Cliarlotte's Lying-in Hospital, and Assistant-Physician to the Hospital for Sick Children; 29, Hertford-street, May-fair. 1820 *JOHN H. BADLEY, Dudley, Worcestershire. 1838 FRtANCIS BADGLEY, M.D., Toronto, Upper Canada. 1840 WILLIAM BAINBRIDGE, Kingston, Surrey. 1836 ANDREW WOOD BAIRD, M.D., Physician to the Dover Hospital, Dover, Kent. 1851 *ALFRED BAKER, Surgeon to the General Hospital, and Lecturer on Surgery at Sydenham College, Birmingham. 1839 THOMAS GRAHAM BALFOUR, M.D., Surgeon to the Royal Military Asylum; Chelsea. C. 1852-3. Tran8. 1. 1848 EDWARD BALLARD, M.D., Medical Officer of Health for Islington; 42, Myddelton-square. Tran8. 1. 1849 THOMAS BALLARD, 10, Southwick-place, Hyde-park. 1837 WILLIAM BALY, M.D. F.R.S., Aesistant-Physician to, and Lecturer on Medicine at, St. Bartholomew's Hospital; and Physician to the Millbank Prison; 45, Queen Anne-street, Cavendish-square. C. 1845-6. L. 1847. S. 1848-9. V.P. 1855-6. Tran8. 1. 1847 ANDREW WHYTE BARCLAY, M.D., Secretary, Assistant- Physician to, and Lecturer on Materia Medica at, St. George's Hospital; Medical Officer of Health for Chelsea; 23A, Bruton-street, Berkeley-square. Trans. 2. 1848 EDGAR BARKER, 9, Oxford-square, Hyde-park.